| NPI | 1396098463 |
|---|---|
| Former Name | AMBER JEAN ROGERES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: GA OT005575) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: GA OT005575) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2015-08-28 |